The Digestive System Functions Ingestion—taking in food Digestion—breaking food down both...

The Digestive System Functions

• Ingestion—taking in food

•Digestion—breaking food down both physically and chemically

•Absorption—movement of nutrients into the bloodstream

•Defecation—rids the body of indigestible waste

Organs of the Digestive System

•Two main groups of organs

•Alimentary canal (gastrointestinal or GIT proper)—continuous coiled hollow tube

•These organs ingest, digest, absorb, defecate

•Accessory digestive organs

• Includes teeth, tongue , salivary glands, liver, gall bladder & pancreas.

Mouth (oral cavity)Tongue

Esophagus

Gallbladder

Small intestineDuodenumJejunumlleum

Parotid gland

Salivary glandsSublingual glandSubmandibulargland

Pharynx

StomachPancreas(Spleen)

Large intestine

Descendingcolon

CecumSigmoid colonRectumAppendixAnal canal

Transversecolon

Ascendingcolon

Figure 14.1

Organs of the Alimentary Canal

•Mouth

•Pharynx

•Esophagus

•Stomach

•Small intestine

•Large intestine

•Anus

Mouth (Oral Cavity) Anatomy

•Lips (labia)—protect the anterior opening

•Cheeks—form the lateral walls

•Hard palate—forms the anterior roof

•Soft palate—forms the posterior roof

•Uvula—fleshy projection of the soft palate

Mouth (Oral Cavity) Anatomy

•Vestibule—space between lips externally and teeth and gums internally

•Oral cavity proper—area contained by the teeth

•Tongue—attached at hyoid bone and styloid processes of the skull, and by the lingual frenulum to the floor of the mouth

•Tonsils

•Palatine—located at posterior end of oral cavity

•Lingual—located at the base of the tongue

•Adenoids & tubal tonsils

Figure 14.2a

Esophagus

Laryngopharynx

Epiglottis

Oropharynx

Lingual tonsil

Palatine tonsil

Soft palate

Nasopharynx

Hardpalate

Oralcavity

Lips (labia)

Vestibule

Lingualfrenulum

Tongue

Hyoid bone

Trachea

Figure 14.2b

Hard palate

Soft palate

Palatine tonsil

Oropharynx

Tongue

Upper lip

Gingivae(gums)

Mouth Physiology

•Mastication (chewing) of food

•Mixing masticated food with saliva

• Initiation of swallowing by the tongue

•Allows for the sense of taste

Pharynx Anatomy

•Nasopharynx—not part of the digestive system

•Oropharynx—posterior to oral cavity

•Laryngopharynx—below the oropharynx and connected to the esophagus

Figure 14.2a

Esophagus

Laryngopharynx

Epiglottis

Oropharynx

Lingual tonsil

Palatine tonsil

Soft palate

Nasopharynx

Hardpalate

Oralcavity

Lips (labia)

Vestibule

Lingualfrenulum

Tongue

Hyoid bone

Trachea

Pharynx Physiology

•Serves as a passageway for air and food

•Food is propelled to the esophagus by two muscle layers

•Longitudinal outer layer

•Circular inner layer

•Food movement is by alternating contractions of the muscle layers (peristalsis)

Esophagus Anatomy and Physiology

•Anatomy

•About 10 inches long

•Runs from pharynx to stomach through the diaphragm

•Physiology

•Conducts food by peristalsis (slow rhythmic squeezing)

•Passageway for food only (respiratory system branches off after the pharynx)

Layers of Tissue in the Alimentary Canal Organs•Four layers from deep to superficial:

•Mucosa

•Submucosa

•Muscularis externa(Musculosa)

•Serosa

Layers of Tissue in the Alimentary Canal Organs•Mucosa

• Innermost, moist membrane consisting of

•Surface epithelium

•Small amount of connective tissue (lamina propria)

•Small smooth muscle layer(muscularis mucosa)

•Lines the cavity (known as the lumen)

Figure 14.3

Visceral peritoneum

Intrinsic nerve plexuses• Myenteric nerve plexus• Submucosal nerve plexus

Submucosal glands

VeinArteryNerve

Mesenter y

Gland inmucosa

Duct of glandoutside alimentarycanal

Lymphoid tissue

Serosa(visceral peritoneum)

Submucosa

Muscularis externa• Longitudinal muscle layer• Circular muscle layer

Mucosa• Surface epithelium• Lamina propria• Muscle layer

Layers of Tissue in the Alimentary Canal Organs•Submucosa

•Just beneath the mucosa

•Soft connective tissue with blood vessels, nerve endings, mucosa-associated lymphoid tissue, and lymphatics

Figure 14.3

Visceral peritoneum

Submucosal glands

VeinArteryNerve

Mesenter y

Gland inmucosa

Lymphoid tissue

Submucosa

Layers of Tissue in the Alimentary Canal Organs•Muscularis externa(musculosa)—smooth muscle

• Inner circular layer

•Outer longitudinal layer

•Serosa—outermost layer of the wall contains fluid-producing cells

•Visceral peritoneum—outermost layer that is continuous with the innermost layer

•Parietal peritoneum—innermost layer that lines the abdominopelvic cavity

Figure 14.3

Visceral peritoneum

Submucosal glands

VeinArteryNerve

Mesenter y

Gland inmucosa

Lymphoid tissue

Submucosa

Figure 14.5

(a) (b)

Lesseromentum

Pancreas

Duodenum

Transversecolon

Mesenteries

Peritonealcavity

Rectum

AnusUrinary bladder

CecumLarge intestine

Uterus

Small intestine

Parietal peritoneum

Greater omentum

Visceral peritoneumStomachGallbladder

LiverSpleen

Falciform ligament

Diaphragm

Alimentary Canal Nerve Plexuses

•Two important nerve plexuses serve the alimentary canal

•Both are part of the autonomic nervous system

•Submucosal nerve plexus

•Myenteric nerve plexus

•Function is to regulate mobility and secretory activity of the GI tract organs

Stomach Anatomy

•Located on the left side of the abdominal cavity

•Food enters at the cardioesophageal sphincter

•Food empties into the small intestine at the pyloric sphincter (valve)

Stomach Anatomy

•Regions of the stomach

•Cardiac region—near the heart

•Fundus—expanded portion lateral to the cardiac region

•Body—midportion

•Pylorus—funnel-shaped terminal end

Stomach Anatomy

•Rugae—internal folds of the mucosa

•Stomach can stretch and hold 4 L (1 gallon) of food when full

•External regions

•Lesser curvature—concave medial surface

•Greater curvature—convex lateral surface

Figure 14.4a

Pyloricantrum

Esophagus

Fundus

Serosa

Rugaeofmucosa

Greatercurvature

PyloricSphincter(valve)(a)

Pylorus

Lessercurvature

Cardioesophagealsphincter

Muscularisexterna

• Circular layer• Oblique layer

• Longitudinal layer

Duodenum

Figure 14.4b

Fundus

Rugaeofmucosa

(b) Pyloricsphincter

Pyloricantrum

Stomach Anatomy•Layers of peritoneum attached to the stomach

•Lesser omentum—attaches the liver to the lesser curvature

•Greater omentum—attaches the greater curvature to the posterior body wall

•Lymph follicles contain macrophages

•Muscularis externa(musculosa) has a third layer

•Oblique layer helps to churn, mix, and pummel the food

Large intestine

Small intestine

Greater omentum

Stomach

Gallbladder

LiverSpleen

Falciform ligament

Diaphragm

Figure 14.5a

Lesseromentum

Pancreas

Duodenum

Transversecolon

Mesenteries

Peritonealcavity

Rectum

AnusUrinary bladder

Uterus

Small intestine

Parietal peritoneum

Greater omentum

Visceral peritoneum

Stomach

Diaphragm

(b)Figure 14.5b

Stomach Physiology

•Temporary storage tank for food

•Site of food breakdown

•Chemical breakdown of protein begins

•Delivers chyme (processed food) to the small intestine

Structure of the Stomach Mucosa

•Mucosa is simple columnar epithelium

•Mucous neck cells—produce a sticky alkaline mucus

•Gastric glands—situated in gastric pits and secrete gastric juice

•A)Chief cells—produce protein-digesting enzymes (pepsinogens)

•B)Parietal cells—produce hydrochloric acid

•C)Enteroendocrine cells—produce gastrin

Pyloricsphincter

Gastric pits

Surfaceepithelium

Mucousneck cells

Parietal cells

Gastricglands

Chief cells

Figure 14.4c

Pepsinogen PepsinHCl

Parietal cells

Chief cells

Enteroendocrinecell

(d)Figure 14.4d

Small Intestine

•The body’s major digestive organ

•Site of nutrient absorption into the blood

•Muscular tube extending from the pyloric sphincter to the ileocecal valve

•Suspended from the posterior abdominal wall by the mesentery

Subdivisions of the Small Intestine

•Duodenum

•Attached to the stomach

•Curves around the head of the pancreas

•Jejunum

•Attaches anteriorly to the duodenum

• Ileum

•Extends from jejunum to large intestine

Chemical Digestion in the Small Intestine

•Chemical digestion begins in the small intestine

•Enzymes are produced by

• Intestinal cells

•Pancreas

•Pancreatic ducts carry enzymes to the small intestine

•Bile, formed by the liver, enters via the bile duct

•CBD&PD, unite &open on raised papilla in duodenum, guarded by sph. Of Oddi

Gallbladder

Duodenalpapilla

Hepatopancreaticampulla and sphincter Duodenum

Right and lefthepatic ductsfrom liver

Cystic duct

Common hepatic duct

Bile duct and sphincter

Accessory pancreatic duct

Pancreas

Jejunum

Main pancreatic duct and sphincter

Figure 14.6

Small Intestine Anatomy

•Three structural modifications that increase surface area

•Microvilli—tiny projections of the plasma membrane (create a brush border appearance)

•Villi—fingerlike structures formed by the mucosa

•Circular folds (plicae circulares)—deep folds of mucosa and submucosa

Blood vesselsserving the smallintestine

Circular folds(plicae circulares)

Musclelayers

(a) Small intestineFigure 14.7a

Absorptivecells

Lacteal

Bloodcapillaries

(b) Villi

Lymphoidtissue

Intestinalcrypt

Muscularismucosae

Villus

Venule

Lymphatic vessel

Submucosa

Figure 14.7b

Figure 14.7c

(c) Absorptive cells

Microvilli(brush border)

Large Intestine

•Larger in diameter, but shorter in length, than the small intestine

•Extends from the ileocecal valve to the anus

•Subdivisions:

•Cecum

•Appendix

•Colon

•Rectum

•Anal canal

Large Intestine Anatomy

•Cecum—saclike first part of the large intestine

•Appendix

•Accumulation of lymphatic tissue that sometimes becomes inflamed (appendicitis)

•Hangs from the cecum

Right colic(hepatic) flexure

Transverse colon

Haustrum

Ascending colon

IIeum (cut)

IIeocecal valve

Appendix Rectum

Alan canal External anal sphincter

Sigmoid colon

Teniae coli

Cut edge ofmesentery

Descending colon

Left colic(splenic) flexure

Transversemesocolon

Figure 14.8

•Colon

•Ascending—travels up right side of abdomen

•Transverse—travels across the abdominal cavity

•Descending—travels down the left side

•Sigmoid—S-shaped region; enters the pelvis

•Rectum and anus also are located in the pelvis

Transverse colon

Haustrum

Ascending colon

IIeum (cut)

IIeocecal valve

Appendix Rectum

Sigmoid colon

Teniae coli

Descending colon

Transversemesocolon

Figure 14.8

•Anus—opening of the large intestine

•External anal sphincter—formed by skeletal muscle and under voluntary control

• Internal involuntary sphincter—formed by smooth muscle

•These sphincters are normally closed except during defecation

Transverse colon

Haustrum

Ascending colon

IIeum (cut)

IIeocecal valve

Appendix Rectum

Sigmoid colon

Teniae coli

Descending colon

Transversemesocolon

Figure 14.8

•No villi present

•Goblet cells produce alkaline mucus which lubricates the passage of feces

•Muscularis externa layer is reduced to three bands of muscle called teniae coli

•These bands cause the wall to pucker into haustra (pocket like sacs)

•Fat globioles on the wall, appendeces epiploicae

Accessory Digestive Organs

•Teeth

•Salivary glands

•Pancreas

•Liver

•Gallbladder

•Function is to masticate (chew) food

•Humans have two sets of teeth

•Deciduous (baby or “milk”) teeth

•A baby has 20 teeth by age two

•First teeth to appear are the lower central incisors

•Permanent teeth

•Replace deciduous teeth between the ages of 6 and 12

•A full set is 32 teeth, but some people do not have wisdom teeth (third molars)

• If they do emerge, the wisdom teeth appear between ages of 17 and 25

Classification of Teeth

• Incisors—cutting

•Canines (eyeteeth)—tearing or piercing

•Premolars (bicuspids)—grinding

•Molars—grinding

IncisorsCentral(6–8 mo)

Lateral(8–10 mo)Canine (eyetooth)(16–20 mo)MolarsFirst molar(10–15 mo)Second molar(about 2 yr)

IncisorsCentral (7 yr)

Lateral (8 yr)Canine (eyetooth)(11 yr)Premolars(bicuspids)First premolar(11 yr)Second premolar(12–13 yr)MolarsFirst molar(6–7 yr)

Second molar(12–13 yr)Third molar(wisdom tooth)(17–25 yr)

Deciduous(milk) teeth

Permanentteeth

Figure 14.9

Regions of a Tooth

•Crown—exposed part

•Enamel—hardest substance in the body

•Dentin—found deep to the enamel and forms the bulk of the tooth

•Pulp cavity—contains connective tissue, blood vessels, and nerve fibers

•Root canal—where the pulp cavity extends into the root

Regions of a Tooth

•Neck

•Region in contact with the gum

•Connects crown to root

•Root

•Cementum—covers outer surface and attaches the tooth to the periodontal membrane

Enamel

Dentin

Pulp cavity

Gum(gingiva)

Periodontalmembrane

Cement

Root canal

Blood vessels andnerves inpulp

Figure 14.10

Salivary Glands

•Three pairs of salivary glands empty secretions into the mouth

•Parotid glands

•Found anterior to the ears

•Submandibular glands

•Sublingual glands

•Both submandibular and sublingual glands empty saliva into the floor of the mouth through small ducts

Esophagus

Gallbladder

Parotid gland

Pharynx

Large intestine

Descendingcolon

Transversecolon

Ascendingcolon

Figure 14.1

Saliva

•Mixture of mucus and serous fluids

•Helps to form a food bolus

•Contains salivary amylase to begin starch digestion

•Dissolves chemicals so they can be tasted

Pancreas

•Found posterior to the parietal peritoneum

• Its location is retroperitoneal

•Extends across the abdomen from spleen to duodenum

Pancreas

•Produces a wide spectrum of digestive enzymes that break down all categories of food

•Enzymes are secreted into the duodenum

•Alkaline fluid introduced with enzymes neutralizes acidic chyme coming from stomach

•Hormones produced by the pancreas

• Insulin

•Glucagon

Esophagus

Gallbladder

Parotid gland

Pharynx

Large intestine

Descendingcolon

Transversecolon

Ascendingcolon

Figure 14.1

Gallbladder

Duodenalpapilla

Cystic duct

Common hepatic duct

Pancreas

Jejunum

Figure 14.6

•Largest gland in the body

•Located on the right side of the body under the diaphragm

•Consists of four lobes suspended from the diaphragm and abdominal wall by the falciform ligament(Rt, Lt, quadrate &caudate lobe)

•Connected to the gallbladder via the common hepatic duct

Esophagus

Gallbladder

Parotid gland

Pharynx

Large intestine

Descendingcolon

Transversecolon

Ascendingcolon

Figure 14.1

(a) (b)

Lesseromentum

Pancreas

Duodenum

Transversecolon

Mesenteries

Peritonealcavity

Rectum

AnusUrinary bladder

CecumLarge intestine

Uterus

Small intestine

Parietal peritoneum

Greater omentum

Visceral peritoneumStomachGallbladder

LiverSpleen

Falciform ligament

Diaphragm

Figure 14.5a-b

•Produced by cells in the liver

•Bile leaves the liver through the common hepatic duct

•Composition is

•Bile salts

•Bile pigments (mostly bilirubin from the breakdown of hemoglobin)

•Cholesterol

•Phospholipids

•Electrolytes

•Function—emulsify fats by physically breaking large fat globules into smaller ones

Gallbladder

•Sac found in hollow fossa of liver

•When no digestion is occurring, bile backs up the cystic duct for storage in the gallbladder

•When digestion of fatty food is occurring, bile is introduced into the duodenum from the gallbladder

•Gallstones are crystallized cholesterol which can cause blockages(obstructive jaundice)

Esophagus

Gallbladder

Parotid gland

Pharynx

Large intestine

Descendingcolon

Transversecolon

Ascendingcolon

Figure 14.1

Gallbladder

Duodenalpapilla

Cystic duct

Common hepatic duct

Pancreas

Jejunum

Figure 14.6

Functions of the Digestive System

• Ingestion—placing food into the mouth

•Propulsion—moving foods from one region of the digestive system to another

•Peristalsis—alternating waves of contraction and relaxation that squeezes food along the GI tract

•Segmentation—moving materials back and forth to aid with mixing in the small intestine

Ingestion

Mechanicaldigestion

Small intestineLargeintestine

Pharynx

EsophagusPropulsion

• Swallowing (oropharynx)

Stomach

Absorption

Lymphvessel

Bloodvessel

Mainly H2O

Chemicaldigestion

Defecation

• Chewing (mouth)• Churning (stomach)• Segmentation (small intestine)

• Peristalsis (esophagus, stomach, small intestine, large intestine)

Figure 14.11

Figure 14.12a-b

•Food breakdown as mechanical digestion

•Examples:

•Mixing food in the mouth by the tongue

•Churning food in the stomach

•Segmentation in the small intestine

•Mechanical digestion prepares food for further degradation by enzymes

•Food breakdown as chemical digestion

•Enzymes break down food molecules into their building blocks

•Each major food group uses different enzymes

•Carbohydrates are broken to simple sugars

•Proteins are broken to amino acids

•Fats are broken to fatty acids and glycerol

Figure 14.13 (1 of 3)

Figure 14.13 (2 of 3)

Figure 14.13 (3 of 3)

•Absorption

•End products of digestion are absorbed in the blood or lymph

•Food must enter mucosal cells and then into blood or lymph capillaries

•Defecation

•Elimination of indigestible substances from the GI tract in the form of feces

Ingestion

Mechanicaldigestion

Small intestineLargeintestine

Pharynx

EsophagusPropulsion

• Swallowing (oropharynx)

Stomach

Absorption

Lymphvessel

Bloodvessel

Mainly H2O

Chemicaldigestion

Defecation

• Chewing (mouth)• Churning (stomach)• Segmentation (small intestine)

• Peristalsis (esophagus, stomach, small intestine, large intestine)

Figure 14.11

Control of Digestive Activity

•Mostly controlled by reflexes via the parasympathetic division

Digestive Activities of the Mouth

•Mechanical breakdown

•Food is physically broken down by chewing

•Chemical digestion

•Food is mixed with saliva

•Starch is broken down into maltose by salivary amylase

Activities of the Pharynx and Esophagus

•These organs have no digestive function

•Serve as passageways to the stomach

Deglutition (Swallowing)

•Buccal phase

•Voluntary

•Occurs in the mouth

•Food is formed into a bolus

•The bolus is forced into the pharynx by the tongue

•Pharyngeal-esophageal phase

• Involuntary transport of the bolus

•All passageways except to the stomach are blocked

•Tongue blocks off the mouth

•Soft palate (uvula) blocks the nasopharynx

•Epiglottis blocks the larynx

•Pharyngeal-esophogeal phase (continued)

•Peristalsis moves the bolus toward the stomach

•The cardioesophageal sphincter is opened when food presses against it

Bolus of food

Tongue

PharynxEpiglottisupGlottis (lumen)of larynx

(a) Upper esophageal sphincter contracted

Upperesophagealsphincter

EsophagusTrachea

Figure 14.14a

Figure 14.14b

Larynx upEsophagus

(b) Upper esophageal sphincter relaxed

UvulaBolusEpiglottisdown

(c) Upper esophageal sphincter contracted

Figure 14.14c

Figure 14.14d

RelaxedmusclesCardioesophagealsphincter open

(d) Cardioesophageal sphincter relaxed

Food Breakdown in the Stomach

•Gastric juice is regulated by neural and hormonal factors

•Presence of food or rising pH causes the release of the hormone gastrin

•Gastrin causes stomach glands to produce

•Protein-digesting enzymes

•Mucus

•Hydrochloric acid

Food Breakdown in the Stomach

•Hydrochloric acid makes the stomach contents very acidic

•Acidic pH

•Activates pepsinogen to pepsin for protein digestion

•Provides a hostile environment for microorganisms

Digestion and Absorption in the Stomach

•Protein digestion enzymes

•Pepsin—an active protein-digesting enzyme

•Rennin—works on digesting milk protein in infants, not adults

•Alcohol and aspirin are the only items absorbed in the stomach

Propulsion in the Stomach

•Food must first be well mixed

•The pylorus pushes chyme into the small intestine (3 mL at a time)

•The stomach empties in 4–6 hours

Pyloricsphincterclosed

Pyloricsphincterslightlyopen

Propulsion: Peristaltic waves move from the fundus to the pylorus.

Grinding: The most vigorous peristalsis and mixing action occur close to the pylorus.

Retropulsion: The pyloric end of the stomach pumps small amounts of chyme into the duodenum, while simultaneously forcing most of its contents backward into the stomach.

Figure 14.15

Digestion in the Small Intestine

•Enzymes from the brush border function to

•Break double sugars into simple sugars

•Complete some protein digestion

Digestion in the Small Intestine

•Pancreatic enzymes play the major digestive function

•Help complete digestion of starch (pancreatic amylase)

•Carry out about half of all protein digestion

•Digest fats using lipases from the pancreas

•Digest nucleic acids using nucleases

•Alkaline content neutralizes acidic chyme

Regulation of Pancreatic Juice Secretion

•Release of pancreatic juice into the duodenum is stimulated by

•Vagus nerve

•Local hormones

•Secretin

•Cholecystokinin (CCK)

Regulation of Pancreatic Juice Secretion

•Secretin causes the liver to increase bile output

•CCK causes the gallbladder to release stored bile

•Bile is necessary for fat absorption and absorption of fat-soluble vitamins ( A,D,E,K))

Upon reaching thepancreas, CCKinduces secretion ofenzyme-rich pancreaticjuice; secretin causessecretion of bicarbonate-rich pancreatic juice.

Stimulation by vagal nervefibers causes release ofpancreatic juice and weakcontractions of the gallbladder.

Secretin causes the liver tosecrete more bile; CCK stimulatesthe gallbladder to release storedbile and the hepatopancreaticsphincter to relax (allows bile toenter the duodenum).

Chyme enteringduodenum causes theenteroendocrine cellsof the duodenum torelease secretin andcholecystokinin (CCK).

CCK (red dots)and secretin (bluedots) enterbloodstream.

Figure 14.16

Figure 14.16, step 1

Stimulation by vagal nervefibers causes release ofpancreatic juice and weakcontractions of the gallbladder.

Absorption in the Small Intestine

•Water is absorbed along the length of the small intestine

•End products of digestion

•Most substances are absorbed by active transport through cell membranes

•Lipids are absorbed by diffusion

•Substances are transported to the liver by the hepatic portal vein or lymph

Propulsion in the Small Intestine

•Peristalsis is the major means of moving food

•Segmental movements

•Mix chyme with digestive juices

•Aid in propelling food

Figure 14.12b

Food Breakdown and Absorption in the Large Intestine•No digestive enzymes are produced

•Resident bacteria(intestinal flora) digest remaining nutrients

•Produce some vitamin K and B

•Release gases

•Water and vitamins K and B are absorbed

•Remaining materials are eliminated via feces

Food Breakdown and Absorption in the Large Intestine•Feces contains

•Undigested food residues

•Mucus

•Bacteria

•Water

Propulsion in the Large Intestine

•Sluggish peristalsis

•Mass movements

•Slow, powerful movements

•Occur three to four times per day

•Presence of feces in the rectum causes a defecation reflex

• Internal anal sphincter is relaxed

•Defecation occurs with relaxation of the voluntary (external) anal sphincter

The Digestive System Functions Ingestion—taking in food Digestion—breaking food down both...

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